Vintilă M, Făgărăşanu R, Luca R
N. Gh. Lupu Institute of Internal Medicine, Bucharest, Romania.
Med Interne. 1988 Oct-Dec;26(4):305-9.
Of the 132 patients with sick sinus syndrome (SSS) studied, 62 (47.8%) required pacemaker implantation thus showing the severity of the arrhythmic syndrome. The pacing requirement varied according to the SSS arrhythmic form with a maximum in the tachy-brady syndrome (53.5%) and in major sinus bradyarrhythmias--S--A block and sinus arrest (54.1%). The presence of syncopes (in 32.6% of the patients) represented the main indication for pacing. Very good results (100% efficiency) were obtained in the bradycardic forms. In the tachy-brady syndrome electrostimulation solved completely the bradycardic component and was able, alone, to suppress the tachyarrhythmic episodes in 18.4% of the patients. By associating pacing with antiarrhythmic drugs favourable results were obtained in an additional proportion of 65.8% of the patients. In the rest of 15.8% of the cases the results were partial.
在研究的132例病态窦房结综合征（SSS）患者中，62例（47.8%）需要植入起搏器，从而显示出心律失常综合征的严重性。起搏需求因SSS心律失常形式而异，在快慢综合征（53.5%）和主要窦性缓慢性心律失常——窦房阻滞和窦性停搏（54.1%）中最高。晕厥的存在（占患者的32.6%）是起搏的主要指征。在缓慢性心律失常形式中获得了非常好的结果（100%有效）。在快慢综合征中，电刺激完全解决了缓慢性心律失常成分，并且仅能在18.4%的患者中抑制快速心律失常发作。通过将起搏与抗心律失常药物联合使用，在另外65.8%的患者中获得了良好的结果。在其余15.8%的病例中，结果是部分有效的。
